Outcomes of Surgical Revascularization in Trans-Atlantic Society Consensus (TASC II) Type C & D Aortoiliac Occlusive Disease
Journal Title: International Journal of Surgery & Surgical Techniques - Year 2024, Vol 8, Issue 2
Abstract
Introduction: Aortoiliac occlusive disease is a disabling illness. This study was conducted on the patients of Trans-Atlantic Society Consensus (TASC II) type C & D aortoiliac occlusive disease. Open surgical revascularization in the form of aortofemoral and aorto-bifemoral bypass grafting was done and the demography of patients of AIOD, the efficacy and outcomes of open surgical bypass in the patients of TASC II, type C & D aortoiliac occlusive disease was studied. Methods: in this study, total of 52 patients were revascularized and were observed for various parameters thoroughly throughout the course of diagnosis, preoperative, intra-operative and postoperative phase and until 6 months of follow-up. The demographics, clinical characteristics of the patients, co-morbid conditions, type of aorto-iliac occlusive disease (AIOD), the surgical procedure conducted and the outcomes of surgery in terms of limb salvageability, healing of ulcer, relief of claudication and graft patency were observed. Results: 50 (96.16%) out of 52 patients were males, with a mean age of presentation 55.01 + 8.58 years. 47 (90.38%) were smokers, 43 (82.69%) had hypertension, 17 (32.69%) had diabetes, 11 (21.15%) had CAD, 12 (23.07%) had COPD, 22 (42.30%) had type C and 30 (57.69%) patients had type D disease. Aorto-bifemoral bypass grafting was done in 42 (80.76%) . Mean duration of ICU stay was 1.9 days, 6 (11.53%) patients expired postoperatively. The graft patency and limb salvageability were 100% and 96.15% respectively during 1st, 3rd and 6th months of follow-up with complete healing of ulcers in 21 (91.30%) patients by the end of 6 months. Conclusion: Surgical revascularization is an important, high yielding, life changing intervention which serves as a boon for the patients with extensive or advanced aortoiliac disease. The surgery has excellent outcomes in terms of graft patency as well as limb salvageability.
Authors and Affiliations
Arya H*, Aslam M and Haseen MA
Keywords
Related Articles
- EP ID EP748856
- DOI 10.23880/ijsst-16000221
- Views 72
- Downloads 1
Prognostic Significance of the Lymph Node Ratio for Overall Survival after Curative Surgery for Rectal Cancer: A Retrospective Cohort Study
Background: Accurate rectal cancer N staging requires the histopathological evaluation of at least 12 lymph nodes. Retrieval of that count is not always possible. The purpose of the study is to evaluate the lymph node r...
Evaluation of Carbon Dioxide Angiography in Management of Critical Lower Limb Ischemia with Infrapopliteal Arterial Disease
The aim of the study is to elaborate on the understanding of the application of the CO2 angiography in obtaining quality imaging of infrapopliteal diseased arteries by digital subtraction CO2 angiography, and angiop...
Intra-Cranial Hematoma as a First Manifestation of Brain Tumours, a Meta-Analysis
Introduction: Intracerebral Hematoma (ICH), conventionally associated with vascular causes, is increasingly recognized as the initial presentation of underlying brain tumors. This Narrative review aims to synthesize cur...
Alitiasic Cholecystitis and Acute Pancreatitis Secondary to Gastroduodenal Intussusception after Roux-En-Y Gastric Bypass Case Report
Obesity today is a public health problem in most industrialized countries, Chile does not escape this reality. Despite the availability of medical treatments and changes in lifestyle, bariatric surgery is a safe and rel...
Evolution of Surgery
Surgery was initially begun by treating wounds and was largely superficial. It is hardly surprisingly that surgery of a parts of the lumen body had its origin in the treatment of wounds for in many respects man’s env...